Active NPI
McKenzie Carle, RPH
- Pharmacist
- Covington, KY
National Provider Identifier
1902635907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 024481
- Practice address
- 1220 Madison Ave
Covington, KY 41011-3118 - Phone
- (859) 491-9883
- NPI assigned
- Jul 29, 2024
- Last updated
- Jul 29, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 024481 | KY | Primary |
Addresses
Primary practice location
1220 Madison Ave
Covington, KY 41011-3118
Mailing address
5706 Walkerton Dr
Cincinnati, OH 45238-1843
Phone (513) 446-8188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024481 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1220 Madison Ave
Covington, KY 41011
Phone (859) 491-9883
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1902635907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5706 WALKERTON DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452381843",
"telephone_number": "513-446-8188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 MADISON AVE",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410113118",
"telephone_number": "859-491-9883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLE",
"first_name": "MCKENZIE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-29",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "024481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.